SAA screens new members before giving them meetings times or locations, this is commonly called 12th Stepping. There is a specific questionnaire used in this process to determine if a potential member is likely a sex addict. This questionnaire, with slight modifications so that it could be used experimentally, was able to correctly differentiate self-identified sex addicts and court-determined sex offenders from a control group. Interestingly, when completing the questionnaire males more often perceive themselves as sexually compulsive, but score lower (show less signs of sexual addiction), on average, than females.[2]

In SAA each member creates their own definition "sexual sobriety" based on abstaining from a personalized list of their compulsive sexual behaviors. Members are encourages to respect each other's definitions of sobriety. SAA members use a "three circle" concept to model their behaviors. The inner circle represents the compulsive sexual behaviors that must not be practiced. Inner circle behaviors might be having sex with a prostitute, or acting out with a nonconsensual victim. The outer circle includes sexual and nonsexual behaviors that are definitely healthy. Outer circle behaviors might include sex with a partner in a monogamous relationship or getting eight hours of sleep a night. The middle circle are behaviors that are not considered a relapse (inner circle behaviors), but could quickly lead to one of left unchecked. Middle circle behaviors might include looking for a prostitute or contacting an old acting out partner.[1]

In addition to regular meetings SAA also organizes "boundary meetings." These are special meetings for professional caregivers such as medical doctors, psychotherapists, and clergy who need to attend meetings separate from clients, patients, and parishioners.[3]